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1073002085
MOUSA THALJI
WILKES BARRE, PA
NPI
1073002085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: PA MD475160)
Enumeration Date
2018-05-04
Last Update Date
2021-09-13
Business Address
MOUSA THALJI MBB Ch
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711-0027
Phone number: 570-808-7399
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Mailing Address
MOUSA THALJI MBB Ch
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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